Mantle Cell Lymphoma Insights

Expanding Use of BTK Inhibitors in Mantle Cell Lymphoma Treatment

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Latest Research

A recent study highlights the effectiveness of a chemotherapy-free treatment regimen using acalabrutinib, umbralisib, and ublituximab for patients with untreated mantle cell lymphoma (MCL). This combination achieved high response rates, with many patients reaching undetectable levels of minimal residual disease, indicating a significant reduction in cancer cells.

The findings suggest that this approach could offer a promising alternative to traditional chemotherapy, potentially improving outcomes for patients. Ongoing research is needed to further validate these results and explore long-term benefits. This represents a pivotal advancement in therapeutic options for MCL management, as noted by Lopedote et al. (2025).

Clinical Trials

This is a list of upcoming or ongoing clinical trials that are actively recruiting and have been listed or updated in the last two weeks:

Community News

The Leukemia & Lymphoma SocietyThe Leukemia & Lymphoma SocietyApr 03, 2025

What’s one thing people don’t realize about life after treatment?

Lymphoma ActionLymphoma ActionApr 01, 2025

Lymphoma is the most common cancer in teenagers and young adults. We're sharing these stories this Teenage and Young Adults Cancer Awareness Month so that no one faces lymphoma alone 👉

MCL Our JourneyMCL Our JourneyApr 05, 2025

Lately, I have struggled physically (and emotionally!) with fatigue. Just under two years ago, I started a physically challenging chemotherapy called BEAM. It is used to prepare high-risk Lymphoma patients for bone marrow and stem cell transplants. My protocol required five rounds of chemo, starting every three weeks. They would hook me up to the IV on Wednesday evening and keep it in me until Friday afternoon. Side effects that week were insomnia and extreme cold sensitivity. The following week, I would be hit by heavy fatigue and emotional volatility on Monday, brain fog on Tuesday, and dizziness on Wednesday (always and in that order.) The previous side effect wouldn't go away as each new one presented. They just built on each other. By Wednesday, I would be cold sensitive, exhausted, an emotional basket case, unable to concentrate, and dizzy. But the worst aspect was fatigue.

You could almost set your watch by it. Around noon on Monday (give or take 20 minutes) I would have my first crash. I would go from 91% energy to 30%-- in about 15 seconds-- and I would be blubbering because I was suddenly so ridiculously tired. I remember at one point, I was talking to my customer with my employee at my side. The next thing I knew, I was lying on the ground at his ankles, sobbing. He leaned down to me and said, "Pete, man, go home." Oh yeah.

I am privileged to be part of a cancer group on Facebook called Mantle Cell Lymphoma: the Journey. We collectively exhibit a wide variety of symptoms, both during and after treatment. However, the common symptom for everyone seems to be fatigue. Lately I have been feeling this kind of fatigue again. I had a good day yesterday. It was the best I had felt in a couple of weeks! (It was almost a shame to waste such a perfect day working, you know?) But last night I was at a function and went from 80% energy to about 40% over the course of a five minute presentation. I could FEEL the energy leaking out of me, like water dripping out of the bottom of the colander when you're draining your pasta after boiling it.

It wasn't as rapid or extreme a crash as in the bad old days, but I have been feeling run-down in general lately. That crash brought back memories of chemo, and my extreme fatigue after my transplant. My mind came up with only two explanations-- either the cancer is back, or my maintenance immunotherapy is destroying my energy as well as opening the barn door wide to respiratory infections. I can deal with the infections. They suck. But the idea of my cancer returning only 18 months after treatment? That was terrifying...

I was driving home from the event and realized the worship team at my church was having practice just then, so I stopped by for prayer. They huddled around me, and prayed while I let it all out. While they were praying, God spoke this to my heart:

"I will declare the name of the LORD in the land of the living."

It was a reference to Psalm 27:13 (NIV):

I am still confident of this:

I will see the goodness of the LORD

in the land of the living.

And the next verse, Psalm 27:14 is also applicable:

Wait for the LORD;

be strong and take heart,

and wait on the LORD."

But what God actually said was "I will declare the NAME of the LORD in the land of the living." What have I written about in my last three blog posts? I have been sharing some of the Hebrew names of God because His CHARACTER is revealed in his names.

I love studying how God reveals himself through sharing his names with his people at key moments in their history. But what I most love are the times when people encounter God, and name Him themselves. Hagar comes to mind, in Genesis 16. She had a God-encounter when she was running away from home. She was pregnant, destitute and thirsty. This felt like the end, but she encountered God there at the spring, and he told her the future name of her unborn son, and of his great destiny. In response, she named Him El-Roi-- "The Strong God who SEES me."

God was telling me last night that he sees me. That I would live, for he still has stuff for me to do. My mission here is not yet complete, and I don't need to be afraid. This morning, God confirmed that with another passage sent by my worship leader. It was Philippians 1:6. God brought it to his mind last night while they were praying over me.

"... being confident in this, that he who began a good work in you will carry it to completion until the day of Christ Jesus."

I was thinking about all these things this morning on my early-morning drive to work, and a beautiful old Margaret Becker song came to mind: "Say the Name." I used to have it on CD, as a full blown studio production, with every detail perfect. That recording is available online. But what my heart needed today was the simple acoustic version you can watch here: https://www.youtube.com/watch?v=Pks9wtZksaI

A more sweeter sounding word

These lips have never said

A gentle name so beautiful

My Heart cannot forget

Just a whisper is enough

To set my soul at ease

Just thinking of this Name

Brings my heart to peace

Say the Name

Say the Name that soothes the soul

The Name of gentle healing

And peace immutable

I'll say the Name

that has heard my cry

He's seen my tears

and wiped them dry

From now until the end of time

I'll say the Name

May I never grow so strong

That my heart cannot be moved

May I never grow so weak

That I fear to speak the truth

I will say this holy Name

No matter who agrees

For no other name on earth

Means so much to me

Say the Name-- Jesus

Say the Name

that soothes the soul

The Name of gentle healing

And peace immutable

I'll say the Name

that has heard my cry

Has seen my tears

and wiped them dry

From now until the end of time

I'll say the Name.

It's been a hard week, but I'm at peace tonight. Fear and Fatigue no longer go together.

If you enjoyed reading this, check out my blog at www.PeteCox.org and my book "101 God Thoughts: a Spiritual Journey from Covid to Cancer. It's on Amazon in multiple formats.

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Southampton Lymphoma Information DayIn Person Lymphoma Action • Aylesbury, United Kingdom